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Individual
TERESA M SMITH
Active
Individual
TERESA M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SW18011
FL
1041C0700X
Clinical Social Worker
Primary
SW18011
FL
Other
Enumeration date
02/14/2021
Last updated
02/14/2021
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